Display for computer-aided evaluation of medical images and for establishing clinical recommendation therefrom

Abstract

A method for displaying a computer-generated determination of the overall likelihood of malignancy in a mammogram lesion. The method requires providing a digitized image of a mammogram, displaying the digitized image, and selecting a region of interest directly on the displayed digitized image. The digitized image is then processed so that classifier data of the lesion in the user-selected region of interest are generated and displayed. The overall likelihood of malignancy is generated from the classifier data and also displayed. A clinical recommendation for further assessing the lesion is derived from the overall evaluation of malignancy and presented to the user. A system for displaying a determination of the overall likelihood of malignancy in a mammogram lesion and for presenting a clinical recommendation to the user is also provided. A method for integrating the overall likelihood of malignancy with a physician's independent score for the lesion is discussed.

Description

CROSS REFERENCE TO RELATED APPLICATION[0001]This application is a continuation-in-part of U.S. patent application Ser. No. 10 / 284,213 filed Oct. 31, 2002 entitled “Display for Computer-Aided Diagnosis of Mammograms”.FIELD OF THE INVENTION[0002]The present invention relates to a method and system for displaying evaluation / classification information that assists in determining the malignancy or non-malignancy of abnormalities appearing on radiological mammogram images.BACKGROUND OF THE INVENTION[0003]Breast cancer is one of the most common types of cancer afflicting Western society. It is estimated that the spread of the disease has risen in the United States, from one in twenty women being afflicted in 1940, to one in eight in 1995. The American Cancer Society estimated that 183,000 new cases of breast cancer were reported during 1995. In the United States, some 46,000 women die from the disease per year. Today, it is accepted that the best way to detect breast cancer in its early st...

AI Technical Summary

Benefits of technology

[0035]It is an object of the present invention to provide a system and method for displaying data which assist a radiologist in diagnosing suspected lesions in mammograms, particularly hard to see or difficult to evaluate lesions.

[0036]It is a further object of the present invention to provide a method and a system in which classifier data presented with a mammogram assists in reducing the rate of false negative and false positive diagnoses.

Problems solved by technology

Since the interpretation of mammographic lesions is problematic, a need for advanced diagnostic tools is required.

The analysis, even after using the above techniques, still remains mainly subjective.

Reading large numbers of mammograms is a difficult and tiring task.

According to some literature reports as noted above, unacceptably high rates of false negative results occur.

However, it is well known that computer-aided detection systems almost invariably indicate more suspected abnormalities than are detected by a trained radiologist.

Therefore, a radiologist may have to examine, and must often dismiss, not only the suspected abnormalities that he detects from the radiological mammogram films but also the additional, typically greater number of, suspected abnormalities detected by the computer-aided detection system.

Depending on how many more additional suspected abnormalities the computer-aided detection system detects and identifies on the display, the extra work in examining and dismissing these additional abnormalities can slow down the diagnostic process.

Even with the use of confidence levels, which usually are insufficiently detailed and nuanced, the task of reviewing the many false locator markers displayed by the system may be more tiresome and troublesome than the benefits that accrue from looking more carefully into the individual suspected lesions.

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